Provider Demographics
NPI:1952516445
Name:SEES, SUSAN JENNIFER (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:JENNIFER
Last Name:SEES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:JENNIFER
Other - Last Name:ROVELSTAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:213 REECEVILLE RD
Mailing Address - Street 2:SUITE 23
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1528
Mailing Address - Country:US
Mailing Address - Phone:610-384-6550
Mailing Address - Fax:610-384-7329
Practice Address - Street 1:213 REECEVILLE RD
Practice Address - Street 2:SUITE 23
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1528
Practice Address - Country:US
Practice Address - Phone:610-384-6550
Practice Address - Fax:610-384-7329
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA390200000X208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery